Özet:

Objective: To evaluate patients who was been operated under emergent conditions for cranial causes in Bitlis state hospital during last year. Methods: In this study, patients who was been operated only under emergent conditions for cranial causes between May 2011 and May 2012 were evaluated retrospectively. In addition to head trauma, patients with emergent cranial causes like spontaneous intracerebral hematoma, subdural hematoma, intracerebellar hematoma were also included in this study. Elective cranial operations were excluded. Age of the patients, gender, initial Glasgow coma scale, preoperative diagnoses, and last status of the patients were noted. Results: 78 male and 30 women were included in the study. 17 patients were operated for non traumatic causes. It was found that the most common reason for head trauma was traffic accident in men and fallls in women. The most common cause of operation was traumatic epidural hematoma. Initial Glasgow coma scale was equal and lesser than 8 in 47,2 % of patients. Total mortality rate was 21,3%. There was a significant relationship between initial Glasgow coma scale and mortality. Conclusion: The rate of emergent operations for non traumatic causes in neurosurgery should not be underestimated because it may contribute to high mortality rates as in our study

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